scholarly journals Clinico-pathological profile and surgical management of tubercular small intestinal obstruction

2018 ◽  
Vol 5 (11) ◽  
pp. 3553
Author(s):  
Lalit Choudhary ◽  
Narendra Singh Bhat ◽  
Kedar Singh Shahi
Keyword(s):  
Intestinal Obstruction ◽  
Medical Record ◽  
Clinical Features ◽  
Tertiary Care ◽  
Abdominal Tuberculosis ◽  
Common Symptom ◽  
Tertiary Care Centre ◽  
Small Intestinal Obstruction ◽  
Ileal Stricture ◽  
Small Intestinal

Background: Small intestinal obstruction is one of the most common abdominal emergencies faced by surgery resident in emergency department. Diagnosis and management of tubercular intestinal obstruction is challenging as underlying pathology is usually obscure and disease is associated with significant morbidity and mortality. The aim of this study is to know the various clinical features; different types of treatment and prognosis of tubercular intestinal obstruction in adult patients in our setting. Our centre is the only tertiary care centre belongs to Kumauni region at present, most of our patient are from low socioeconomical strata of their region.Methods: Our study was a retrospective analytic study. Medical record of all patients who were operated between 2011 and 2016 for intestinal obstruction due to abdominal tuberculosis at Surgery Department of Dr. Sushila Tiwari Government Hospital attached to GMC Haldwani were retrospectively analysed. The patients who were above 14 years of age and operated for obstruction of small bowel and whose complete medical record was available, were included in the study.Results: There were total 59 patients operated during this time span, out of these, 19 were female and 40 were male. Patients from 3’rd decades (37.29%) of their life were most commonly affected. Abdomen pain was most common symptom found in all 59 patients. Ileal Stricture was most common gross finding. Resection anastomosis was done in 71.19%.Conclusions: Most of the cases of abdominal tuberculosis presents with non-specific clinical features, inconclusive laboratory and radiography findings.

Small Intestinal Obstruction due to Anisakiasis: Clinical Features and Pharmacologic Treatment

2017 ◽  
Vol 112 ◽  
pp. S653-S654
Author(s):  
Atsushi Yoshida ◽  
Fumiaki Ueno ◽  
Shotaro Umezawa ◽  
Toshio Morizane ◽  
Yutaka Endo
Keyword(s):  
Intestinal Obstruction ◽  
Clinical Features ◽  
Pharmacologic Treatment ◽  
Small Intestinal Obstruction ◽  
Small Intestinal

scholarly journals Adenocarcinoma ileum: a rare cause of ileal stricture mimicking intestinal tuberculosis: a case report and literature review

2021 ◽  
Vol 8 (8) ◽  
pp. 2473
Author(s):  
Manisha Aggarwal ◽  
Dinesh Manchikanti ◽  
Janitta Kundaikar ◽  
Shaji Thomas ◽  
Ashish Arsia ◽  
...  
Keyword(s):  
Case Report ◽  
Small Bowel ◽  
Intestinal Obstruction ◽  
Intestinal Tuberculosis ◽  
Rare Condition ◽  
Short Segment ◽  
Small Intestinal Obstruction ◽  
Ileal Stricture ◽  
Luminal Narrowing ◽  
Small Intestinal

One of the commonest causes of small intestinal obstruction in India is tuberculosis. The terminal ileum and ileocaecal junction are the most common sites of small bowel involvement, and the most common abnormality is short-segment strictures. We report a patient who presented with small intestinal obstruction due to a solitary ileal stricture, but turned out to be a rare condition that can mimic intestinal tuberculosis. A 60-years-old man, with recurrent episodes of pain abdomen for 1 year, presented to our surgical emergency with evidence of small intestinal obstruction. A CT scan revealed a short segment stricture (2.7 cm) in mid ileal loop with luminal narrowing and marked proximal dilation of proximal ileal loops with a few sub centimetric mesenteric lymph nodes. On laparotomy with a suspected diagnosis of intestinal tuberculosis, it turned to be an adenocarcinoma of the ileum- a rare condition that can mimic intestinal tuberculosis. One of the commonest causes of small intestinal obstruction in India is abdominal tuberculosis. However, all cases of small intestinal obstruction are not tuberculosis. Adenocarcinoma of ileum is a very rare entity. This case report shows that a surgeon should have a high index of suspicion in an elderly patient presenting with small intestinal obstruction, with CT demonstrating isolated short-segment small bowel thickening, as it could be a presentation of obstructing type adenocarcinoma of the small intestine.

scholarly journals Ileal hypertrophy and associated true diverticulum as a cause of colic in a horse

2017 ◽  
Vol 88 ◽  
Author(s):  
Arnold T. Mahne ◽  
Driene Janse van Rensburg ◽  
Michael Hewetson
Keyword(s):  
Intestinal Obstruction ◽  
Post Mortem ◽  
Small Intestinal Obstruction ◽  
Post Mortem Examination ◽  
Mesenteric Side ◽  
Small Intestinal

A 4-year-old Thoroughbred gelding underwent an explorative celiotomy for a suspected small intestinal obstruction. During surgery, an impacted diverticulum of the ileum was suspected, necessitating a jejunocaecostomy. The owner opted for euthanasia. On post-mortem examination and histopathology, a true diverticulum on the mesenteric side of the ileum, with ileal hypertrophy, was diagnosed.

scholarly journals A Case of Small Intestinal Obstruction Caused by a Freed Leiomyosarcoma

2015 ◽  
Vol 76 (8) ◽  
pp. 1928-1932
Author(s):  
Naoki MOROHOSHI ◽  
Kazuki ASANUMA ◽  
Hyogo SAWAZAKI ◽  
Setsuji TAKANASHI ◽  
Motoya KASHIYAMA ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Small Intestinal Obstruction ◽  
Small Intestinal

scholarly journals Clinical profile of pediatric patients with tuberculosis in a tertiary care centre in India

2020 ◽  
Vol 7 (9) ◽  
pp. 1906
Author(s):  
Ashna Kumar ◽  
Javid Ahmad ◽  
Pooja Bharti ◽  
Vasundhara Bakshi
Keyword(s):  
Pediatric Population ◽  
Tertiary Care ◽  
Significant Proportion ◽  
Abdominal Tuberculosis ◽  
Childhood Tuberculosis ◽  
Diagnostic Methods ◽  
North India ◽  
Tuberculous Lymphadenitis ◽  
Tertiary Care Centre ◽  
Cross Sectional

Background: India has one of the highest TB burden globally. Children contribute a significant proportion of TB burden, in whom the diagnosis can be challenging because many childhood diseases mimic TB. Therefore, a high index of suspicion is required for early diagnosis of childhood tuberculosis to prevent poor outcome. Objectives was to evaluate the prevalence and profile of childhood tuberculosis cases and to determine the risk factorsMethods: An observational cross-sectional study was conducted over a period of 6 months at a hospital in north India and the prevalence and profile of the children admitted with the clinical suspicion of tuberculosis was studied. Case specific diagnostic approach was used for diagnosis and the appropriate treatment was instituted.Results: The prevalence of childhood TB was 2.3% among hospitalized children. Of these, 66.5% were males and 33.49% were females. The majority of cases were more than 8 years. The history of contact was present only in 31.1%. Tuberculin skin test was positive in 53.11%. Pulmonary tuberculosis was the most common type of childhood tuberculosis (45.45%) followed by neurological tuberculosis (42.8%), abdominal tuberculosis (6.45%), tuberculous lymphadenitis (2.63%), others (2.61%). Malnutrition was a potent contributing factor present in 91.86%. The mortality rate observed in the study was 9.56%.Conclusions: Owing to the high burden of tuberculosis among pediatric population in India, there is an alarming need to develop more economical and advanced diagnostic methods for better patient management and above all there is urgent need of the hour to educate the masses about the transmission and risk factors for this disease.

scholarly journals Clinical study of multiple myeloma and treatment responses in a tertiary care centre

2021 ◽  
Vol 9 (11) ◽  
pp. 3356
Author(s):  
Immanni S. M. Giridhar ◽  
C. Deepak Yadlapalli ◽  
Muralidhar Gullipalli ◽  
Venkatesh Mushini ◽  
Yerraguntla S. Sarma ◽  
...  
Keyword(s):  
Multiple Myeloma ◽  
Treatment Options ◽  
Tertiary Care ◽  
Elevated Serum ◽  
Staging System ◽  
Stage Iiib ◽  
Common Symptom ◽  
Tertiary Care Centre ◽  
Incurable Disease ◽  
Unknown Significance

Background: Multiple myeloma (MM) evolves from Monoclonal gammopathy of unknown significance (MGUS), a premalignant clinical condition. Second to non-Hodgkin’s lymphoma, MM is the most common haematological malignancy. The aim of the study was to review the clinical profile and response of individuals treated for MM from this part of country.Methods: We evaluated data of patients with MM managed between 2013 and 2019 at a tertiary care cancer hospital in Rajamahenderi, India. Data regarding demographic variables, clinical features, disease characteristics and treatment details were collected and analysed.Results: Total of 54 patients with MM were managed. Mean age was 59.4 years. Males accounted for 63%. Bone pain (90%) was the most common symptom. Elevated serum creatinine was noted in 16.7% and M band in 42 (77.8%). X-ray of skull showed lytic lesions in 41 (75.9%). Mean haemoglobin value was 8.8±1.9 g/dl and serum calcium was 9.12 mg/dl. Majority of subjects, 44 (81.48%) belong to stage IIIA, 9 (16.67%) to stage IIIB, and 1.85% to stage IIA of Durie Salmon staging system. No response was noted in 17 (31.5%), 4 (7.4%) subjects had a progressive disease even on treatment, and 8 (14.8%) subjects had a very good partial response. Median survival of subjects belonging to DSS stage II was 17 months, IIIA was 11.037 months and stage IIIB was 17.463 months.Conclusions: MM has an early onset in India. Though MM is an incurable disease, many promising treatment options are there which lead to increase in survival. Early treatment helps in improving mortality rates, better quality of life and decreases disease burden.

scholarly journals A Case of Small Intestinal Obstruction Complicated with Radioactive Enteritis Caused by Consumption of a Plum Seed

2016 ◽  
Vol 41 (5) ◽  
pp. 775-780
Author(s):  
Ryo Otsuka ◽  
Shuji Saito ◽  
Hitomi Takaishi ◽  
Motonobu Saito ◽  
Ryouichi Hirayama ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Small Intestinal Obstruction ◽  
Small Intestinal
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